Dr. Ramani Rheumatology Clinic
Dr. Ramani
Rheumatology Clinic
Specialist rheumatology care · Kuala Lumpur

Scleroderma / Systemic Sclerosis

Systemic sclerosis can sound overwhelming when patients first hear about it. My aim is to explain the pattern calmly, screen the lungs, heart, kidneys, circulation and digestion where needed, and pick up complications early so they can be treated in time.

Let me explain

What scleroderma / systemic sclerosis is

Systemic sclerosis, often called scleroderma, is an autoimmune connective tissue disease that can cause skin thickening, Raynaud's phenomenon and internal organ involvement. It can affect blood vessels, digestion, lungs, heart, kidneys, joints and muscles.

What patients may notice

Symptoms to look out for

Raynaud's phenomenon in fingers or toes

Swollen fingers or skin thickening

Reflux, swallowing difficulty or bloating

Joint pain, stiffness or tendon tightness

Breathlessness, cough or reduced exercise tolerance

Rheumatology perspective

Why this matters to a rheumatologist

Rheumatology care focuses on diagnosis, organ screening, symptom control and early treatment of complications such as lung disease, pulmonary hypertension, kidney crisis or digital ulcers.

When to seek help

Signs I would like you to seek care for

For emergency symptoms please seek urgent or emergency care first rather than waiting for a WhatsApp reply.

New Raynaud's with swollen fingers or ulcers

Skin thickening of fingers, hands or face

Breathlessness, chest symptoms or swallowing difficulty

High blood pressure or kidney concerns in known systemic sclerosis

How I can help

What a specialist review looks like

I examine skin, joints and circulation, review antibody tests, arrange nailfold or organ screening where appropriate, and coordinate care with lung, heart, kidney or gastroenterology teams if needed.

Frequently asked

Questions my patients often ask me

No. Localised forms can affect skin, but systemic sclerosis can involve internal organs.

Speak with me

If you have Raynaud's with swollen fingers, skin thickening or breathlessness, or you are already living with systemic sclerosis and need coordinated care, WhatsApp my clinic and we can help you decide whether a rheumatology review is the right next step.

This page is for general education only and does not replace medical advice. Please consult a qualified healthcare professional for diagnosis and treatment.